Gateway Medical Group - Upmc

NPI #1215255872 in Carnegie, Pennsylvania

Provider Information

NPI Number
1215255872
Entity Type
Organization
Organization Name
Gateway Medical Group - Upmc
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
May 6, 2010
Last Updated
Oct 23, 2012

Practice Location

Address
1100 WASHINGTON AVE
Address 2
115
ZIP Code
15106-3614
Phone
(412) 279-8940

Authorized Official

Name
KENNY HEINE
Title
SR DIRECTOR OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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